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Aseptic necrosis femoral treatment technology

2011年03月25日

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Aseptic necrosis femoral treatment technology

 

 

 

 

 

Avascular necrosis and says aseptic avascular necrosis, refers to various causes the femoral blood circulation barrier, ischemia and happen because the necrosis, terminal can cause severe collapse, femoral head hip osteoarthritis. Is one of the clinical common bone disease. TCM bones belong to corrosion GuBi "treatment", and "category.

etiology

TCM any, but even if there is no osteonecrosis according to the joint pain, heavy around, dysfunction, combining pathogeny can be divided into:

1. Early in "stasis" caused by trauma for characteristics, blood stasis, partial loss and raise, general clauses pain, long do not honor and evil in new blood, blood left untaught, bone loss, or because the keep not loading and collapsed. Disease see hip pain or tingling, quick don't move, move is pain very, tongue qualitative dark purple, pulse sink acerbity.

2. The long-term use of hormone, alcohol damage liver kidney, liver and kidney deficiency, causing or old bones to raise, pulp kui Ge lost empty, disease see hip pain, not durable step, form thin since sweat or night sweats, we, forgetful insomnia, five upset hot, red tongue less moss, pulse count.

3. Are virtual evil invade together, what evil, the gas will be empty, the wind cold dampness miscellaneous to attack resistance meridian, general clauses pain, long is lost raise. Disease is white, dizziness midlands meet color tinnitus, stomach cold, cold extremities, hip, knee soreness tongue light moss white veins heavy fine.

Conentional therapy

Nonoperative treatment

Including limit weight, applicable to early patients, reduce the pressure of femoral head, prevent collapse; Traction, alleviate the spasm of soft tissue, correctional part deformity, reduce intra-articular pressure, increase of femoral head acetabulum inclusive.

TCM treatment

1. Qi stagnancy and blood stasis syndrome

Whilst promoting blood circulation to remove blood stasis, dredging, pain.

Herbs: peach siwu soup (angelica nine grams, xiong, 6 grams, cooked dry nine grams donnell digitalis 12 grams, nut nine grams, safflower 6 grams).

2. Liver and kidney deficiency type

Treatment: hepatorenal benefit.

Liuwei dihuang soup (familiar formulas: digitalis 25 grams, huaiqing yam 12 grams, poria cocos 10 grams, alisma orientalis 10 grams, dogberry 12 grams, paeonia suffruticosa 10 grams).

3. Are virtual evil invade type

Qi, and therapies: benefit by removing pathogens.

Herbs: eight Jane tonga minus (dangshen 10 grams, white atractylodes 10 grams, poria cocos 10 grams, roasted liquorice 5 grams, xiong 6 grams, angelica 10 grams, cultivated land 10 grams, donnell 10 grams).

Surgical treatment

1. Drilling decompression: for early patients commonly used method, it can reduce the pressure inside the bones, make the femoral regain blood perfusion, improve blood supply. Adapted to 1) patients.

2. Using bone graft: including free grafts and pedicle grafts, both can provide mechanical support to prevent collapse, but also increase the femoral blood supply. Suitable for 2, 3 period patients.

3. Osteotomy: according to the theory, the purpose is to improve the stress loading the face and change lines of force, used in patients with stage 3, including crude lung rooms, coarse lung, pelvic etc. Various osteotomy.

4. The artificial joint replacement: including prosthetic replacement and total hip replacement, is the treatment of advanced patients commonly used method. Must strictly control indications, generally for 4 phase of older patients.

Appropriate technology

Markov bone pieces 1 (MaZaiShan experience)

Composition: antlers glue, drynaria fortunei, blood dried, acorus tatarinowii, tougucao, etc.

Specification: every piece of 0.3 grams.

Efficacy and indications: kidney strong bones, dredging, dredging, promoting blood circulation to detoxify; Suitable for long-term use of hormonal drugs or chronic alcoholism caused avascular necrosis.

Usage: adult 3 ~ 5 grams, each time, three times a day after meals served lukewarm water, two hours advisable.

Modern research: the medicine of the kidney share the pain of pure, and fill with blood, the power, and the acceleration in solution strands dead bone metabolism, promote the absorption and new bone hyperplasia.

Markov bone slice 2 (MaZaiShan experience)

Composition: terrapin bug, blood dried, 100 grass frost, acorus tatarinowii, tougucao, etc.

Function and indications: promoting blood circulation to remove blood stasis, dredging, dredging, kidney strong bones. Cure the traumatic cause delayed avascular necrosis, fracture healing, not heal, and every kid crazes.

Usage: adult 3 ~ 5 grams, each time, three times a day after meals served lukewarm water, two hours advisable.

JianGu born pill (Beijing rectification of pharmaceutical factory)

Composition: notoginseng, angelica, dilong cordyceps sinensis, safflower,, pearl, borneol.

Function and indications: promoting blood circulation to remove blood stasis, activate collaterals, keep blood born bone. Used for blood stasis resistance winding, bones and muscles is lost caused avascular necrosis raise other applications as well.

Features: WangLuLin composed by professor experience side JianGu born pill, are obviously promote bone growth effect, can increase the capillary number and bone density. Make serum acidic phosphatase (and bone destruction related index) dropped significantly, alkaline phosphatase (and bone growth increased significantly related index); Reduce the femoral medullary cavity fat deposition and increased capillary wall, femoral capillary distribution bone cells, bone growth active mineralization sedimentary speed, the unit volume, bone trabeculae bone trabeculae width, the bone cortex unit volume (compared with control group (P < 0.01) are increasing, and make serum total cholesterol declined obviously, superoxide dismutase (and anti-aging increased significantly, while about) can significantly reduce whole blood viscosity, increase the thymus index, reduce adipose. Within the femoral head

Usage: take orally, a 4.5 ~ 9 grams, a day of 3 times, or as directed by a physician. An hour before meals served with lukewarm water.

Note: pregnant women with caution. Avoid using hormonal drugs. During avoid alcohol medicine. General osteonecrosis treatment from start to bone cells all mature, light person need 1 ~ 2 years, the person that weigh need 2 ~ 5 years.

Norwich, bone meal. Beauty live

Composition: barrenwort, nut, saffron, a., cannon mountain armour, road leads, mountain Yu meat, dilong, turtle shell and antlers glue, dog ridge, etc. More than 20 traditional Chinese medicine

Efficacy and indications: yiqi kidney, promoting blood circulation to remove blood stasis, the bacteric,, can nourish qufeng dehumidification JingXie within bone, and can improve the microcirculation, activate bone cell regeneration factor make disease bone resorption, new bone regeneration. Use governance avascular necrosis of the femoral neck fracture, osteomyelitis, femoral, GuNangZhong, dislocation, ankylosing spondylitis, fracture healing and after difficult, rheumatoid etc.

Usage: day three times, once 2 ~ 6 grain or as directed by a physician, 10 minutes after the meal served in lukewarm water.

Features: drug utilization and the absorption rate can reach lesions, all above 90%; Rapid expansion blood vessels, remove blood stasis, repair damaged blood, rapid analgesia, full blood to make bones; And a lot of nutrients rapid activate ischemia bone, effectively prevent avascular necrosis of the further development of the disease.

Shanghai avascular necrosis of the rehabilitation center method

Choose to traditional Chinese medicine "Que huoxue capsule" lifter consoliated cost, and marrow of pure, topical "sentient beings fill in the role of muscles magnets stick", through its bones and muscles, acupuncture, adjust the release of the TCM within bone trace elements in the case; role Tong winding through "sentient beings treasures" avascular necrosis of the carrier to release therapeutic in TCM and biological signal, improve blood supply system, promote mortar mould made head bone structure, repair, improve the femoral mechanical properties, function reappear.

Prevention regulating

The disease can be caused by several causes are, and the common pathogenesis is destroyed, the blood supply femoral late can cause serious collapse of the femoral head and osteoarthritis. Early on the disease have greater significance conducted, combining traditional Chinese and western medicine treatment method choice, especially TCM kidney strong gluten, promoting blood circulation to remove blood stasis can yet be regarded as prevent secondary avascular necrosis of the effective way. To prevent abuse of hormone and improve drinking habits can reduce the risk of disease.